A 47-year-old male patient was admitted to the gastroenterology ward with a 3-day history of melena. The physical examination revealed no symptoms of peritonitis, such as abdominal pain or fever. Abdominal CT demonstrated a high-density shadow in the greater curvature of the stomach (Fig. 1A). Subsequent endoscopic evaluation identified a sinus in the greater curvature of the upper gastric body, from which blood flowed and bubbles were visible after repeated irrigation (Fig. 1B). The patient later stated that he had a splenectomy plus portal vein disconnection more than one year ago.
Fig. 1
A On the CT cross-section, a high-density shadow is observed along the greater curvature of the stomach. B Blood flowed and bubbles were visible after repeated irrigation during endoscopic evaluation of the sinus tract. C Two hemostatic clips were applied to achieve hemostasis and prevent recurrent bleeding. D Follow-up CT confirmed a lack of migration of the hemostatic clips
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